Part I. Indications and purposes of medication.

1. What are the indications for oral drug administration and giving medications through
Nasogastric/endoscopic tubes? Discuss your answers. (10 points)
Many drugs can be administered orally as liquids, capsules, tablets, or chewable tablets.
Because the oral route is the most convenient and usually the safest and least expensive,
it is the one most often used. However, it has limitations because of the way a drug
typically moves through the digestive tract.

Where possible, use liquids and, if changing from liquid to solid or vice versa, ensure that
the dose is re-calculated;
Ensure that tablets can be crushed or dissolved but do not use enteric coated or sustained
release forms in this manner;
Simplify the medication regimen if appropriate, so drugs can be given twice daily

2. What are the indications for giving medications via Intravenous (IV), Intradermal (ID),
Intramuscular (IM), subcutaneous (SQ), and inhalation? Discuss thoroughly. (15 points)

3. What are the reasons or purposes of mixing medications? Explain further. (5 points)

Part II. Case Analysis and Drug Study.

1. Patient Seno Lakwatsero, 30 years old, male, arrived in the emergency room due to LBM
and vomiting for 10 times since yesterday afternoon. Upon assessment of the nurse, the
patient has dry skin, poor skin turgor, sunken eyeballs, and severe body weakness. The
lab test revealed serum potassium of 3.0 mmol/L. The provisional diagnosis is t/c
electrolyte imbalance, t/c AGE with moderate DHN. The management includes
administration of Metoclopramide (Reglan) 10 mg/tab, 1 tab PO TID, Racecadotril
(Hidrasec) 100 mg/cap, 1 cap PO TID, Oral Hydrating Salts (Hydrite) 1 sachet, dissolve
in a glass of water prn for LBM and vomiting, and Potassium Chloride tablet (Slow-K), 1
tab stat then TID.

Given with this situation, what are your important health education to the patient and
provide the classification, indications, contraindications, side effects, and adverse
reactions of the aforementioned medications. (20 points)